Organization Active NPI

Peter Kilfoil

  • Durable Medical Equipment & Medical Supplies
  • Riverhead, NY
National Provider Identifier
1437332384
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PETER KILFOIL
Practice address
887 Old Country Rd
Suite J
Riverhead, NY 11901-2115
Phone
(631) 727-7717
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter J Kilfoil, D.P.M.
Title
Owner
Phone
(631) 765-8086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

887 Old Country Rd
Suite J
Riverhead, NY 11901-2115

Mailing address

PO Box 1343
Southold, NY 11971-0964

Other identifiers 1

IdentifierTypeStateIssuer
00420842MedicaidNY

National Provider Directory

National Provider Directory

Locations

887 Old Country Rd
Ste J
Riverhead, NY 11901
Phone (631) 727-7717

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1437332384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "SOUTHOLD",
            "state": "NY",
            "postal_code": "119710964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 OLD COUNTRY RD",
            "address_2": "SUITE J",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012115",
            "telephone_number": "631-727-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER KILFOIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "KILFOIL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-765-8086",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00420842",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.